Active NPI
Teresa Bridge-Jackson, MD
- Emergency Medicine Physician
- Cape May Court House, NJ
National Provider Identifier
1366463986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MA03661100
- Practice address
- 2 Stone Harbor Blvd
Burdette Tomlin Memorial Hospital Emergency Department
Cape May Court House, NJ 08210 - Phone
- (609) 463-2339
- Fax
- (609) 463-2946
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MA03661100 | NJ | Primary |
Addresses
Primary practice location
2 Stone Harbor Blvd
Burdette Tomlin Memorial Hospital Emergency Department
Cape May Court House, NJ 08210
Mailing address
PO Box 698
Livingston, NJ 07039
Phone (973) 740-0607
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1430009 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03661100 | NJ | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366463986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 698",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "07039",
"telephone_number": "973-740-0607",
"fax_number": "973-422-0353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 STONE HARBOR BLVD",
"address_2": "BURDETTE TOMLIN MEMORIAL HOSPITAL EMERGENCY DEPARTMENT",
"city": "CAPE MAY COURT HOUSE",
"state": "NJ",
"postal_code": "08210",
"telephone_number": "609-463-2339",
"fax_number": "609-463-2946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGE-JACKSON",
"first_name": "TERESA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MA03661100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1430009",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cape May Court House, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.